First Alert fa11oc Manuale Utente Scaricare il pdf (Pagina 35)

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OWNER’S INSURANCE PREMIUM

CREDIT REQUEST

hi form should be completed and forwarded to your

lwmmwm% Insurance carrier for possible premium credii

L. GENERAL INFORMATION:

insured’s Name and Address:

Insurance Company:

First Alert System:

PA1 1 OC

Poiii No.:

Type of Alarm: 0 Burglary

Both

installed by:

Servked by:

nalne

name

address

3. NOTIFIES (Insert B for Burglary, F for Fire, where approprfate):

Looal soundii Devloe

POliCeDept.

AreDept-

Central station

Name and Address:

Z . POWERED BY: AC. With Redargeable

Power Supply

I. TESTING: 0 Quartedy,

Monthly, 0 Weekly, 0 Other

csnhuedollotheraide

-3%

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First Alert fa11oc Manuale Utente Pagina 35